Individual
DR. RONALD D FORTGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16 ARROWHEAD RD, OLD TAPPAN, NJ 07675-7129
(201) 664-8647
(201) 664-8647
Mailing address
16 ARROWHEAD RD, OLD TAPPAN, NJ 07675-7129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D100673400
NJ
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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